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Persistent trigeminal artery as a rare cause of ischaemic lesion and migraine-like headache
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Abstract
The persistent trigeminal artery (PTA) is a rare remnant of the embryonic intracranial circulatory system that forms a carotid-vertebrobasilar anastomosis. In most cases PTA does not have clear clinical implications. However, some authors report the association of PTA occurrence with vertigo, dizziness and nerve palsy, resulting in diplopia, strabismus or trigeminal neuralgia in patients. In rare cases it may also be related to posterior cerebral circulation strokes. This work reports the case of a female patient who presented with migraine-like headache and an ischaemic lesion in the left temporal lobe in association with PTA.
Abstract
The persistent trigeminal artery (PTA) is a rare remnant of the embryonic intracranial circulatory system that forms a carotid-vertebrobasilar anastomosis. In most cases PTA does not have clear clinical implications. However, some authors report the association of PTA occurrence with vertigo, dizziness and nerve palsy, resulting in diplopia, strabismus or trigeminal neuralgia in patients. In rare cases it may also be related to posterior cerebral circulation strokes. This work reports the case of a female patient who presented with migraine-like headache and an ischaemic lesion in the left temporal lobe in association with PTA.
Keywords
persistent trigeminal artery, migraine-like headache, steal phenomenon, computed tomography angiography, computed tomography angiography
About this articleTitle
Persistent trigeminal artery as a rare cause of ischaemic lesion and migraine-like headache
Journal
Issue
Article type
Case report
Pages
133-136
Published online
2015-03-02
Page views
1466
Article views/downloads
4278
DOI
10.5603/FM.2015.0019
Pubmed
Bibliographic record
Folia Morphol 2015;74(1):133-136.
Keywords
persistent trigeminal artery
migraine-like headache
steal phenomenon
computed tomography angiography
computed tomography angiography
Authors
S. Uhlig
J. Kurzepa
E. Czekajska-Chehab
G. Staśkiewicz
M. K. Polar
M. Nastaj
E. Stochmal
A. Drop
